| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
1,545 |
1,514 |
$300K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
1,946 |
1,934 |
$261K |
| A4554 |
Disposable underpads, all sizes |
7,007 |
6,909 |
$254K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
1,041 |
1,025 |
$101K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
2,379 |
2,363 |
$98K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
810 |
802 |
$97K |
| A4414 |
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each |
917 |
834 |
$79K |
| A5063 |
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each |
1,099 |
986 |
$65K |
| A4335 |
Incontinence supply; miscellaneous |
7,579 |
7,475 |
$40K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
245 |
237 |
$35K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
931 |
916 |
$30K |
| A4406 |
Ostomy skin barrier, pectin-based, paste, per ounce |
965 |
948 |
$13K |
| A4456 |
Adhesive remover, wipes, any type, each |
817 |
806 |
$7K |
| A5120 |
Skin barrier, wipes or swabs, each |
1,154 |
1,134 |
$5K |
| A4371 |
Ostomy skin barrier, powder, per oz |
745 |
730 |
$3K |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
218 |
214 |
$2K |
| A5131 |
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
338 |
331 |
$2K |
| A4367 |
Ostomy belt, each |
115 |
113 |
$543.94 |